Travel Medicine & Vaccinations

Travel Medicine Offered at Walk-In Clinic in Edgewater, MD

Medical preparation for travel is increasingly important. Not only are there more serious health risks present around the world, but there is more available for prevention and treatment. Opportunities for prevention should not be overlooked by any traveler, regardless of destination.

AFC Urgent Care Edgewater offers immunizations for many types of diseases. To expedite your care, AFC Urgent Care Edgewater has set up an on-line questionnaire for you to complete prior to your visit.

An AFC Urgent Care Edgewater physician will then customize an immunization program for you based on the information you provide and can help you assemble the medications necessary that will help protect you against malaria, food and water-borne diarrhea illness, and motion sickness.

AFC Urgent Care Edgewater is a CDC authorized Yellow Fever vaccination center. Some of the common vaccines that we administer at our clinic includes:

Rabies

Tdap/Tetanus

Flu

Please complete the form below to get started on your vaccinations.

Travel Questionnaire

Name*

FirstLast

Date of Birth*

Gender

Male

Female

Other

Phone Number

Email Address*

Your Destination*

Departure Date*

Return Date

Purpose of Trip

Business

Pleasure

Education

Other

Are You Going to Be Staying in Cities/Tourist Areas?*

Yes

No

Maybe

Are You Going to Be Spending Time Above 5,000 Feet?*

Yes

No

Maybe

Are You Pregnant*

Yes

No

Unsure

Are You Being Treated For Any Major Medical Conditions?*

Yes

No

Have You Had a Yellow Fever Vaccination in the Last 10 Years?*

Yes

No

Maybe

Are You Staying Any Time in Rural Areas?

Yes

No

Unsure

Are You Allergic to Eggs/Chicken Products?*

Yes

No

Unsure

Have You Had Any Hypersensitivity or Reaction to Vaccinations?*

Yes

No

Unsure

Have You Had Guillain-Barre Syndrome?*

Yes

No

Unsure

Have You Had Tetanus/Diphtheria Vaccination in the Last 10 Years?*

Yes

No

Unsure

Have You Had Measles Vaccination (2 shots)?*

Yes

No

Unsure

Have You Had Polio Vaccination as an Adult?*

Yes

No

Unsure

Have You Had Hepatitis A Vaccination (2 shots)?*

Yes

No

Unsure

Have You Had Hepatitis B Vaccination (3 shots)?*

Yes

No

Unsure

Have You Had Meningitis Vaccination in the Past 3 Years?*

Yes

No

Unsure

Have You Had Typhoid Vaccination in the Past 2 Years (if injected), or in the Past 5 Years (if oral)?*

Yes

No

Unsure

Have you Had Japanese Encephalitis Vaccination in the Past 2 Years?*

Yes

No

Unsure

If Necessary, Please List Any Significant Current or Recent Medical Conditions